CRAFTING THE ROUTE TO EMERGENCY NURSING SPECIALISATION IN INDONESIA

Transcription

1 CRAFTING THE ROUTE TO EMERGENCY NURSING SPECIALISATION IN INDONESIA Ns. Arcellia Farosyah Putri, S.Kep., MSc Indonesian Emergency and Disaster Nurses Associa?on HQ

2 BACKGROUND ShiCing roles Complexity of the healthcare system and diseases ED Characteris?cs

3 EMERGENCY NURSING PROFESION SERVICE Accredita?on Cer?fica?on Licensure EDUCATION

4 REFERENCES 1.Nursing act No. 38 year PMK No. 40 year 2017 Nurse s Career Pathway 3.CPD Guideline: Pedoman PKB Perawat Indonesia Edisi 2 Tahun 2016 PP-PPNI

5 CONTINOUS PROFESSIONAL DEVELOPMENT

6 Emergency Nurses Education and Training RegulaKon 1. Standard of Curriculum 2. Standard of Trainer 3. Standard of Learning Facility and Media 4. Standard of Monitoring and evalua?on

7 Standard of Curriculum NO TYPES STATUS 1. MOT 2. TOT 3. Basic Life Support 4. Basic Trauma Cardiac Life Support 5. Emergency Nursing Basic, Intermediate, Advanced Level 6. Fluid Resuscita?on 7. Triage Officer 8. Minor Surgical 9. Ambulance Nurse 10. IV Therapy 11. Disaster Basic Level 12. Disaster Advanced Level

8 Standard of Trainer NO Source Person Instructor 1. Min. Bachelor of Nursing (Ners) Min. Diploma 2. Clinical experience: min. 5 years 3. Related training cer?ficate 4. Updated emergency training cer?ficate min. every 2 years 5. TOT cer?ficate min. 3 years 6. NIRA and HIPGABI member

9 Standard of Learning Facility and Media

10 Standard of Monitoring and EvaluaKon 1. Process: facility, facilitator, and learning process 2. Trainee: Learning outcome and competency 3. Assessment process: measure objec?vity and assess the quality of competency 4. Cer?ficate of competencies: con?nue every 6 month or 1 year of a valid cer?fica?on

11 Standard of Monitoring and EvaluaKon Emergency Nursing Basic Level NO COURSE CONTENT TIME Q 1 FUNDAMENTAL a. Policy and regula?on towards ENP b. Con?nous professional development c. Emergency nursing concept 2 CORE a. Emergency nursing care plan (ENCP) b. Ini?al assesment c. Airway & breathing management d. Basic Life Support e. ENCP: Hypovolemic shock f. ENCP: ACS g. ENCP: Trauma T P PL SUM % % 4% 4% 9% 9% 6% 17% 9% 10% 28% Total Credit %

12 Standard of Monitoring and EvaluaKon Emergency Nursing Basic Level CORE 2 (INITIAL ASSESMENT) Learning objec?ve : Explain how to perform ini?al assesment Iden?fy problems in ABCDE Perform ini?al assesment

13 Standard of Monitoring and EvaluaKon Emergency Nursing Basic Level Example Seorang laki-laki berusia 30 tahun diantar ke UGD dengan hasil foto thorak menunjukkan tension pneumothorax. Pasien mengeluh sesak napas, menggunakan otot bantu napas, dan frekuensi napas 35 x/menit dangkal, trakea terdorong ke arah yang sehat. Apakah?ndakan emergensi pada pasien?

14 CERTIFICATION SYSTEM CredenKal Link Quality Career Pathway Competency standard/ cer?fica?on Competencyauthority poriolio Quality Standard of ENCP PK 1 1. Cer?fica?on and PK 2 EN Basic assessment 2. Creden?al of PK 3 EN Intermediate clinical authority PK 4 EN Advanced/ Specialist system: directed, supervised, and PK 5 EN Specialist / independent Consultant 3. Clinical authority and poriolio

15 CERTIFICATION SYSTEM Pathway: CerKficaKon Process Career Pathway Competency Process CerKficaKon PK I (Intern) 0 4 (D3) 0 2 (S1) Novice Beginner LOG BOOK PK I 3 Months internship à competency assessment and cer?fica?on for EN Basic 1. ENBL 2. Ethics and legal ENP 3. Therapeu?c communica?on

16 CERTIFICATION SYSTEM Pathway: CerKficaKon Process Career Pathway Competency Process CerKficaKon PK II EN Basic 1 (Clinical authority: supervised) 1. 3 Months internship à competency assessment and cer?fica?on for EN Basic (internal/ external) à assessment BASIC (HIPGABI) 2. Begin creden?al PK II 1. TEAM WORK 2. NEWS and data analysis in ED 3. Emergency nursing care plan

17 CERTIFICATION SYSTEM Pathway: CerKficaKon Process Career Pathway Competency Process CerKficaKon PK II EN BASIC 2 (Clinical authority: independent) 1. Clinial authority and assignment: intermediate 2. Competency assessment: intermediate 3. Competency cer?fica?on: intermediate 1. EN INTERMEDIATE 2. BASIC SURGICAL SKILL 3. IV THERAPY/ FLUID RESUSCITATION

18 CERTIFICATION SYSTEM Pathway: CerKficaKon Process Career Pathway Competency Process CerKficaKon PK III INTERMEDIAT E 1 (Clinical authority: independent) 1. 1 Months intermediate internship à competency assessment and cer?fica?on for intermediate level à intermediate cer?fica?on: HIPGABI 2. Begin creden?al PK III CNE 1. ENIL 2. TRIAGE OFFICER 3. CI in ED 4. ED and disaster management

19 CERTIFICATION SYSTEM Pathway: CerKficaKon Process Career Pathway Competency Process CerKficaKon PK III INTERMEDIATE 2 (Clinical authority: independent) 1. Clinial authority and assignment: advanced 2. Competency assessment: advanced 3. Competency cer?fica?on: advanced 4. CNE intermediate 1. ADVANCED EN CARDIO 2. ADVANCED EN NEURO 3. ADVANCED EN TRAUMA 4. ADVANCED EN PD 5. ADVANCED EN PEDIATRIK 6. MANAGEMENT BENCANA 7. PENGEMBANGAN RISET

20 CERTIFICATION SYSTEM Pathway: CerKficaKon Process Career Pathway Competency Process CerKficaKon PK IV ADVANCED SP 1 GADAR CNE for ADVANCED SPECIALIST (COLLEGIUM) PK V CONSULTANT SP 2 GADAR 1. SPECIALIST (COLLEGIUM) 2. DOCTORAL (COLLEGIUM)

21 CERTIFICATION SYSTEM PP-PPNI ISSUES 1. Cer?ficate of alendence 2. Cer?ficate of competence 3. Leler of recogni?on à surat keterangan pengakuan lembaga: provider pela?han

22 CERTIFICATION SYSTEM Pathway: RequesKng Nurse Credit Point (SKP) Organiser (HIPGABI Prov, Provider) - Proposal - Recommenda?on from DPW-PPNI (1 month prior) PP-PPNI Organiser (No SKP) PP-PPNI (Review Team) PP-HIPGABI (Review Team)

23 CERTIFICATION SYSTEM Pathway: RequesKng cerkficate of competence Organiser (HIPGABI Prov, Provider) - Proposal - Recommenda?on DPW-PPNI (1 month prior) - Reques?ng cer?ficate of exper?se PP-PPNI - List of alendance - Pre and post score - Skill Site score - NIRA PP- HIPGABI (Review Team) PP-PPNI (Review Team) No. experkse cerkficate Organiser - CerKficate of experkse

24 EMERGENCY NURSING SPECIALIST PROGRAMME

25 COLLEGIUM Nurse Specialist Competency Revision: 2017 (5 Domains of the ASEAN Nursing Common Core Competencies) 1. Ethic and legal prac?ce 2. Professional Nursing Prac?ce 3. Leadership and Management 4. Educa?on and Research 5. Professional, Personal, and Quality Development

26 COLLEGIUM Nurse Specialist Competency Professional Emergency Nursing Prac?ce 1. Triage and Ini?al Assessment 2. Life saving and stabilisa?on 3. Psychosocial emergency: abuse, suicide, violence, and forensic 4. End of life care and acute grieving

27 THE TREE OF KNOWLEDGE T W I G Disaster Management Musculosceletal Abdomen Chest Spinal Head Trauma Disaster Management Integumentum Urology Gastrointestinal Endocrine Cardiovascular Respiratory Neurology Non-Trauma Pediatric Adult Maternity Geriatric Command/ Coordination Disaster Cycle Management Vulnerable Population Daily/Mass Disaster B R A N C H Profesional, Personal, and Quality Development Education and Research Leadership and Management Professional Nursing Practice Triage dan innitial assessment Life Saving and Stabilisation Emergency Psychosocial: abuse, suicide, violence, and forensic End of Life Care and Acute Grieving Ethic and Legal Practice Intra Hospital Pre Hospital T N R K U Adult Nursing Community Nursing Pediatric Nursing Psychiatric Nursing Maternity Nursing Basic Emergency Nursing R O O T Biomedical Basic Nursing Concept Generalist Nursing Care Plan Research Ethic and Legal Practice

28 TERIMA KASIH